@layout("/common/_container.html"){
<div class="ibox float-e-margins">
    <div class="ibox-content">
        <div class="form-horizontal" id="insuranceInfoForm">
        	<input name="formToken" type="hidden" value="${session.formToken}" />
			<input type="hidden" id="id" value="">
            <div class="row">
                <div class="col-sm-6 b-r">
                    <#input id="insuranceCode" name="保险公司代码" maxlength="4"/>
                    <#input id="insuranceAbbr" name="保险公司简称" underline="true" maxlength="20"/>
                </div>

                <div class="col-sm-6">
                    <#input id="insuranceName" name="保险公司名称" maxlength="50"/>
                    <#input id="creditCode" name="社会信用代码" underline="true" maxlength="25"/>
                </div>
            </div>

            <div class="row btn-group-m-t">
                <div class="col-sm-12" style="text-align: center;">
                    <#button btnCss="info" name="提交" id="ensure" icon="fa-check" clickFun="InsuranceInfoDlg.addSubmit()"/>
                    <#button btnCss="danger" name="取消" id="cancel" icon="fa-eraser" clickFun="InsuranceInfoDlg.close()"/>
                </div>
            </div>
        </div>

    </div>
</div>
<script src="${ctxPath}/static/modular/system/insurance/insurance_info.js"></script>
@}
